St Johns Youth Academy
NPI #1265751762 in St Augustine, Florida
Provider Information
- NPI Number
- 1265751762
- Entity Type
- Organization
- Organization Name
- St Johns Youth Academy
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- May 24, 2010
- Last Updated
- May 24, 2010
Practice Location
- Address
- 4500 AVENUE D
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32095-5245
- Phone
- (904) 829-8850
Authorized Official
- Name
- MS. BARIKA GRAYSON, L.M.H.C.
- Title
- CLINICAL DIRECTOR
- Phone
- (904) 829-8850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children |
| Residential Treatment Facility, Emotionally Disturbed Children |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Michelle Thomas, LCSW | |
| MRS. Laura Ann Stafford, LICSW | |
| Linda Newsome, LMHC | |
| MRS. Clarissa Flores |
Organizations
| Provider Name | |
|---|---|
| Iest. Augustine Youth Services |
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